[Question #9682] HIV risk- multiple exposures
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30 months ago
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Dr Handsfield, here are my risks.
1. From 2018-2022 I had several massages with happy ending. In Bangkok, India and Australia. I know these are no HIV risk but my mind is tricking with questions like I might have done more. Do anxious people get these thoughts from your experience?
2. Had about 5 body to body massages fully naked, what’s the risk if my penis touches their vagina and say dipping happened? I also performed oral on some of them.
3. In 2021, UNPROTECTED oral sex at a massage parlour then rubbing penis on her breast until ejaculation (seperate encounters). I know these are low/no risk for HIV but fear is tricking me now.
4. 1-3 times had body to body slides with a friend in India, she was 36 years old VIRGIN and I tried to insert my bare penis but couldn’t buy my penis did went little inside her so dipping happened. I know the girl for 15 years.
5. The other encounters are in my previous post that Dr Hook answered. Appreciate if you could see those comments too.
I’m really worried of HIV and it’s impacting my daily life. Please advise what’s my overall risk is collectively?
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H. Hunter Handsfield, MD
30 months ago
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1. Zero risk for HIV, as you state yourself. I have no comment about the psychology of all this; we are STD/HIV experts, not psychologists.
2. Also little or no risk. I cannot say that brief "dipping" is truly zero risk, but it's certainly close to zero.
3. I can confirm your own statement that "these [exposures] are low/no risk for HIV...."
4. Also zero risk, especially if your friend truly was a virgin.
5. I see no need to re-review the exposures discussed with Dr. Hook. You can believe his opinions and advice.
"Please advise what's my overall risk collectively": Zero for HIV and other STDs. But that doesn't change the advice I already gave. Get tested for HIV; the negative test result will be more effective in reducing your worry than anything I can say, so I will not have any further advice unless and until you return to let me know your HIV test result.
HHH, MD
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30 months ago
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Thanks doctor, I’m building courage to prepare myself for testing. It’s not easy for me to test like others. But in the meantime my concerns for for 1-3 are, what if I had say brief unprotected exposures? I never had these worries until last month when I started worrying about HIV and these doubts started in my mind. I don’t drink or take drugs so I must been fully conscious but the fear is killing me.
With regards questions I asked Dr Hook, my friend in India that I had 10-12 times vaginal sex. My mind is tricking if all events were protected. The girl told me that she doesn’t like condom sex and we dis discuss about getting her tested for HIV but I’m now unsure after that whether we had protected or unprotected sex. I asked the girl she confirmed all the times we had protected but my fear is making me doubt.
Regarding other 5 protected sex encounters with CSWs I’m again doubting myself if these were protected or not. These doubts started in my mind after the the fear I built against HIV lately.
I appreciate your responses on this. Pls leave the thread open after your reply. I’ll post my results after window period. I don’t want to test but it seems I got no choice.
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H. Hunter Handsfield, MD
30 months ago
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"...what if I had say brief unprotected exposure?" You would know if it happened, of course. But even if it did, there was little or no risk. Even with several minutes of vaginal sex to completion, the risk of female to male transmission of HIV averages one chance in 2,500 (equivalent to daily sex with HIV infected partners for 7 years before transmission would be likely). A brief "dip" is meaningless in this context. And statistically it is unlikely your partners have HIV: even in the parts of India with the highest HIV rates, probably under 10% of sex workers is infected, and mostly it's 1% or fewer.
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"With regards questions I asked Dr. Hook...." Clearly no sex occurred. I have no further comment.
We cannot deal with the doubts you have about what did and did not occur sexually. But even if you had had ten times the exposures described, all without condoms, I would still judge there is little chance you have HIV.
I have no patience with avoiding testing for fear of the result. When people avoid testing for potentially deadly conditions (not just HIV, but colonoscopy for colon cancer, mammograms for women with breast lumps, etc) anxiety declines when the test is finally done, even if the result is bad news. The anxiety ahead of time is more stressful than the bad outcome; there's always a sense of relief at finally knowing. And of course it's even better when the result is negative, which is what you can expect.
Finally, perhaps it will help you to know that in the nearly 20 years of this and our preceding forum, with thousands of questions from persons worried about HIV, not one has turned out to be infected. If and when it finally happens, surely it will be someone at genuine risk, like unprotected anal sex with an known HIV infected partner.
Threads are closed after 4 weeks or two follow-up exchanges, whichever comes first, so be sure and return with your test result within that time. Given the zero risk of your exposures, including the latest one, there is no need to wait for a window period. Get tested now, even if the most recent event on your mind was under 6 weeks ago. I will have no other comments of any kind except in response to your test result.
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